Comments for Yasnoff on eHealthhttp://williamyasnoff.com
informing healthcareMon, 18 Apr 2016 02:51:50 +0000hourly1https://wordpress.org/?v=4.9.8Comment on Health Record Banking: A Practical Approach to the National Health Information Infrastructure by Susyhttp://williamyasnoff.com/?p=26&cpage=1#comment-110860
Mon, 18 Apr 2016 02:51:50 +0000http://williamyasnoff.com/?p=26#comment-110860Findnig this post solves a problem for me. Thanks!
]]>Comment on Criteria for choosing a community Health Information system by Essiehttp://williamyasnoff.com/?p=2&cpage=1#comment-110837
Sun, 17 Apr 2016 20:54:52 +0000http://williamyasnoff.com/?p=2#comment-110837That’s a weoolthlught–ut answer to a challenging question
]]>Comment on Some PHRs Already Have Strong Federal Privacy Protection by Georgewemehttp://williamyasnoff.com/?p=55&cpage=1#comment-109530
Sat, 12 Dec 2015 17:15:45 +0000http://williamyasnoff.com/?p=55#comment-109530At this point in the convoluted development of medical information privacy, it might be best if the government or industry adopted guidelines for building security into PHRs and their add-on applications and into the mobile devices that are likely to become indispensible to health care. Thoughtful and strong security offers better hopes for protecting privacy than hundreds of pages of privacy regulations.
]]>Comment on The Myth of Anonymized Data by Triple-C™ (Ciamis Cyber Community)http://williamyasnoff.com/?p=45&cpage=1#comment-5124
Fri, 07 Jun 2013 05:12:50 +0000http://williamyasnoff.com/?p=45#comment-5124Excellent post. I was checking continuously this weblog and I am impressed! Very useful information specially the last section 🙂 I deal with such information much. I was looking for this particular info for a very long time. Thanks and good luck.
]]>Comment on HIEs are Failing by Martha Cameronhttp://williamyasnoff.com/?p=94&cpage=1#comment-5107
Thu, 14 Feb 2013 08:07:59 +0000http://williamyasnoff.com/?p=94#comment-5107I just happen to be on the verge of completing an MPH Informatics course (with Walden University) and only came to the blog because it was a resource given in this week’s course readings.
For someone who had no previous knowledge of informatics –other than being a user of various systems at work-I have become pretty intrigued and hooked for one reason only: I am community health worker who sees the absolute need and benefit of a Health Record Bank and-in answer to your question-the political constituency may not be necessary if the CONSUMER who is the critical piece and, ultimately the payer – can be educated enough about this to come on board.
Dr. Yasnoff’s lecture that I just ‘watched’ may be a little outdated (our school needs to update its course material) but still quite valid in terms of the way this CHII/ HRB (vs. the exchanges) revolves around the consumer. The consumer is given control -and the providers are paid to “deposit” encounters into the bank.
Case in point: I had a client who on Monday had to have an emergency dental visit. She has multiple health problems including HIV, STI, lupus, and has had multiple surgeries’ including double hip replacement.
Her pharmacist had declined to refill her prescriptions because she hadn’t seen her PC in 3 months-her PC had not received any recent blood/work notes from her Infectious disease doctor-her infectious disease doctor had not received her blood work for the lab; ultimately the dentist could not perform the surgical extraction that was needed until he was in possessions of updated medical history. Because she was in so much pain the dentist prescribed pain and antibiotic medications without any idea that she was about to get another “laundry list’ of refills that included other pain medications. Thankfully, the pharmacist emphasized she could not take all the pain medications together. He also has to scratch of one of the medications because I (the community health worker) dutifully informed him that I was aware that she had developed resistant to that particular medication
In the midst of all of this a case manger needed a confidentiality release form the patient to be able to send all this information to all these providers. The patient gladly gave it. It has taken me two days to get that done. And not without being on the phone for at least 2 hours at a time.
In the confusion and pain that this patient was in-the HEALTH BANK would have been the most helpful solution and something she would have gladly paid for to get the help she needed.
Forget political constituencies-start education the consumer.
]]>Comment on HIEs are Failing by Vince Kuraitishttp://williamyasnoff.com/?p=94&cpage=1#comment-5064
Mon, 14 Jan 2013 20:29:22 +0000http://williamyasnoff.com/?p=94#comment-5064Agree with your observations that HIEs are failing. Nicely articulated.

Conceptually health record banks COULD address many of the flaws of public HIEs, but I don’t see a political constituency to make them happen. Thoughts?

]]>Comment on Harvard’s Data Privacy Lab Launching Health Record Bank by nevahttp://williamyasnoff.com/?p=84&cpage=1#comment-5003
Fri, 08 Jun 2012 16:15:21 +0000http://williamyasnoff.com/?p=84#comment-5003To date, many have focused on the cheglanle of digitizing the vast amounts of health data in the current health system and on the one-way transfer of existing data from the system to the patient via EMRs and PHRs.a0 Google and Microsoft have launched data warehouses for personal health information, and a few large institutions have embraced this one-way flow of information. The Mayo Clinic recently partnered with Microsoft HealthVault to provide patients access to their medical records, and Kaiser Permanente has been very successful with their “My Health Manager” offering.
]]>Comment on Some PHRs Already Have Strong Federal Privacy Protection by Carlahttp://williamyasnoff.com/?p=55&cpage=1#comment-4892
Wed, 21 Oct 2009 05:31:51 +0000http://williamyasnoff.com/?p=55#comment-4892“MEANINGFUL USE” SHOULD ALSO INCLUDE A STANDARD FOR ACCURACY OF WHAT IS INCLUDED IN THE EHR. IT SEEMS THERE IS A LOT OF FOCUS ON PRIVACY AND SECURITY, BUT WHAT IS BEING DONE TO ENSURE ACCURACY OF WHAT GOES IN THE EHR? SHARED INFORMATION WILL DEFINITELY HAVE A POSITIVE EFFECT ON PATIENT OUTCOMES, BUT IF THE INFORMATION IS GARBAGE, HOW WILL THE OUTCOME IMPROVE? THIS IS AN AREA AHDI/MTIA IS WORKING ON.
]]>Comment on Some PHRs Already Have Strong Federal Privacy Protection by Carlahttp://williamyasnoff.com/?p=55&cpage=1#comment-4891
Wed, 21 Oct 2009 05:27:19 +0000http://williamyasnoff.com/?p=55#comment-4891In five years, the privacy debate over personal health records will be over, and you and I will be storing our medical records at a central location. Why? Because the benefits of better care and less paperwork will outweigh our current fears about breaches and inappropriate data-sharing. Whether that central location is Redmond, Mountain View or Boston will depend on whom we trust most with our medical information.
]]>Comment on A Health IT Plan for the Nation by Carlahttp://williamyasnoff.com/?p=57&cpage=1#comment-4890
Fri, 16 Oct 2009 12:34:02 +0000http://williamyasnoff.com/?p=57#comment-4890I want to limelight that the whole nation is debating over health care issues but they reform many other issues, from affordability to access. one crucial element that has been largely missing from the discussion: prevention. That is, how to help Americans stay or become healthy. the need is to take an in-depth look at the type of health care system that we really want in this country and at how our individual lifestyle choices impact our health.
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